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PLUMBING PERMITS 90 NE 91 STPERMIIT APPLICATION FOR MIAMI SHORES VILLAGE Date ? fl 1 Job A d d r e s s e ' 1 C L ; Q1 StreoF Tax Folio f / — 31°/ — •002 0 6 Legal Description 2 $9— Y ! Le Descri lion ( ?LD)1 � l � Historically Designated: Yes No Owner/Lessee / Tenant 1110X L. 1 p S Ply Owner's Address C1 f 9 q Contracting Co. M/4 3 fl (JJit bi fl3 Address ilk'? IO? 5 W /9, Ter{ . QualifierTnn ) 114)1 State ( f6y 13(3 Municipal # Competency # LOVOns. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICA ROOFING PAVING FENCE SIGN WORK DESCRIPTION Arpt -11' GIL�]7 Ci i vz— Square Ft. Estimated Cost (value) /,-e O O 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating x14 t�roy'7• � MAN MY COMMISSION # CC 860763 EXPIRES: Aug 4, 2003 i t OF P•t 1-80 3.N0TAFiY Fla. Notary Service & Bonding Co. construction and zoning. Furth • . e, I authorize the above -named contractor to do the work stated. as.A1 11111b1 A41,A4 /* i I *t� of owner Condo Pr • . •ent °ate S ` • • ' .1•• otary as to My Commissio FEES: PERMIT (' D ' RADON APPROVED: Zoning Mechanical Plumbing Building . .r e - :uilder ran �'�� ;r.�.. 4e A J.N:_ ' r y t M Y COMMISSION # HOW '14F op EXPIRES; Aug 4, 244 1 - 800.3NOTARY Fla. Notary Silvio 4 T gf• Own Address Address Address Electrical Master Permit # Phone 3 6S — '75/- SS# , 7 Phone 8�6 i �1 I� /Contractor � Signature or Owner- Builder Date � �. 1,I/,� / r� 3 k/ 1 V Contract N as to s" Date y Comm C.C.F.), a 0 NOTARY BOND?CO■ 0 o / z� TOTAL DUE 3 co Structural Engineer LOT: c� BLOCK: `7 PROPERTY ID #: UQ 3R c SYSTEM DESIGN.,AND S)?E I I CATIpNS J ; ROB T [ {l �� ] GALLONS / GPD ST AEROBIC UNI A [ ] GALLONS / GPD N [ ] GALLONS GREASE INTERCEPTOR CAPACITY K [ ] GALLONS DOSING TANK CAPACITY [ D [� R [ ] SQUARE FEET A TYPE SYSTEM: ['] STANARD I CONFIGURATION: ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYST: SITE E BOTTOM OF DRAINFIELD TO BE D FILL REQUIRED: [ Ai ] INCHES APPROVED BY: - 9 2 o _ to .4 4 .a) 0 T H N _ E R SPECIFICATIONS BY: t \C 2..illt.c.�2 DATE ISSUED: V`"q01 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT _ ( CONSTRUCTION PERMIT FOR: [Rj] New System [ Existing System [eA.44 Holding Tank kr Repair [011 Abandonment [AY Temporary APPLICANT: ' e,K L I .- PROPERTY ADDRESS: C IO 0. r= 9 p 7 R. -'Zc= j ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM 't SYSTEM [AI /FILLED f MOUND [Y BED [ I " SUBDIVISION: �. / .0 P [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE.SAFTISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING - = 'REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. T CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] ] GALLONS CAA [ ] DOSES . PER 24 HRS # PUMPS [ ] [ ] II ` D ES/ [ABOVE/ [46 4 [ r' +` S /FT] [ABOVE/ EXCAVATION REQUIRED: [ i5E'O! ] INC STALL 12° O.. 1 i . COARSE SAND ;NSPEQTJ U r. :x., :- :....... '_y vi: JA r:... hSJiy3 11Y;( uVV�s:,, &tVi _,.,.. • u.... w .d.d.., a-a TITLE: EXPIRATION DATE: DH 4016, 12/99 (Page 1) n Pr labia f a::� m s a ' �,;;, b'ab;3 :MA sett used 1 1.Y p.... _ G:R p; � �� � � hw.,a•`gt��; ��8(b�M �)' 17311th Department DEFLECTION (SI5 d�iis pt. 2: Applicant pt. 3: Installer/Contractor pt. 4: Building Department PERMIT NO. .:2 g f _ 4D 7r/ e DATE PAID: FEE PAID: 7. q RECEIPT #:NC> /Z• /4.m , )� [") Innovative [-]/ (f.) ENCHMARK /REFERENCE POINT BENCHMARK /REFERENCE POINT Page 1 of 3 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. CONSTRUCTION PERMIT FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent AGENT: Property owner's legally authorized representative. MAHANG ADDRESS: P.O. Box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY IID #: 27 character id number for property. (CHD may require property appraiser ID # or section/township /range/parcel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 641E-6, FAC. DRAINFIELD: Minimum specifications from Chapter 64E-6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department (CHD) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CHD • S EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. Date of Application // - Name of Owner 7cC G �k. L cc G Mailing Address of Owner 9 E r / Owner's Agent ' �ritn c � 1 + Talla asaee. FL — (904) 878 -5401 STATE OF FLORIDA DEPARTMENT OF HEALTH-AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT S Agent's Mailing Address / g7 .s /l. /—///9 M-" T Property Street Address 7 c2 ?/ 5 f Lot No This Application is for: New System Type of Establishment AUDIT CONTROL NO 136591 a FRS H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (S Number:5744 -001- 4015 -1) Authority: Chapter 381, FS Chapter 10D-6, FAC Permit Application Number PART I — APPLICATION Repair Sewage Flow, (Gallons per d TOTAL FLOW = Telephone Number 7- 6 78 Builder 1107898 Telephone No 52> ,V5V Y /73? Block No. Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION Applicant's Signature ,ice Existing System Sewage Flow Based On Type of No. Bedrooms Heated or Cooled Area Residential (each dwelling unit) (each dwelling unit) ft ft Exact Directions to Property No. Dwelling Sewage Flow Units (Gallons per day) Page 1 of 3 1 • Permit Na Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divl+ion of. Miami Shores Village shall be complied with, whether beredn specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address . E \- G -- 1'- No To Registered Architect and /or Engineer �7 _ - £ 1 P s Name."!_. I `�` o and Legal cation Lot. j... B Street and Number where work is to be performed -No 9c) IQ State work to be performed and purpose of building (By Floors) New Building. - - - -._ _- _.._.........._._ Remodeling__ .__ Addition --- _.__.__.__ Repairs Size Septic Tank— Feet of Drain Tile / �q�Feet of Tank or Drain Field from Well .. .-•--.-- - Nature of Water Supply: City-Well. 1-` _"- _ - Size of Soakage Pit. Amount of Permit $ S� C p ` `:t€!SE FLOtIAR I'd;:• if) 1990 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (signed)- 1- (Signed) Date / - .- -- • -• - -- - -- street.-1J6 No. of Stories Type of Tank ..... __Capacity Cals._._._Q ei d--•nra--%>- - LJ Notary Public, State of Florida umbing Inspect6r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and llr•c com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor +• to he performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices a arr required by the Act. The undersigned agrees to employ only such sub - contractors, on vror}o- to be perf under this permit, as are licensed by Miami Shores Village. Master Plumber. NOTE: A re- inspection fee of $1.00 will be ,Dade whom malt se•Inspoties Y snade•seoessery by bumper notice for bripecction, or faulty materials and /cr work maoahip. • STATE OF FLORIDA, t gs. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared CSEP to me well known, and who being by me first duly swan, upon oath deposes and says that he is the ._.__.__ .. _ ._....__ - .__.. _ _ ...._. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, end that all facts therein by hire stated are true. CLOSETS BATH i . Ds aNOW[R• LAVA TORIES SINKS GLOP a1NK• LAUNDR Tu•• URINALS CA efA•IN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIIITURE• CONTR. LIST CHECK SEPTIC TANK SEw[R CONK. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. S SIN 114'0 POOL COMM. LIST •T •. / (/// CHECK 1 • Permit Na Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divl+ion of. Miami Shores Village shall be complied with, whether beredn specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address . E \- G -- 1'- No To Registered Architect and /or Engineer �7 _ - £ 1 P s Name."!_. I `�` o and Legal cation Lot. j... B Street and Number where work is to be performed -No 9c) IQ State work to be performed and purpose of building (By Floors) New Building. - - - -._ _- _.._.........._._ Remodeling__ .__ Addition --- _.__.__.__ Repairs Size Septic Tank— Feet of Drain Tile / �q�Feet of Tank or Drain Field from Well .. .-•--.-- - Nature of Water Supply: City-Well. 1-` _"- _ - Size of Soakage Pit. Amount of Permit $ S� C p ` `:t€!SE FLOtIAR I'd;:• if) 1990 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (signed)- 1- (Signed) Date / - .- -- • -• - -- - -- street.-1J6 No. of Stories Type of Tank ..... __Capacity Cals._._._Q ei d--•nra--%>- - LJ Notary Public, State of Florida umbing Inspect6r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and llr•c com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor +• to he performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices a arr required by the Act. The undersigned agrees to employ only such sub - contractors, on vror}o- to be perf under this permit, as are licensed by Miami Shores Village. Master Plumber. NOTE: A re- inspection fee of $1.00 will be ,Dade whom malt se•Inspoties Y snade•seoessery by bumper notice for bripecction, or faulty materials and /cr work maoahip. • STATE OF FLORIDA, t gs. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared CSEP to me well known, and who being by me first duly swan, upon oath deposes and says that he is the ._.__.__ .. _ ._....__ - .__.. _ _ ...._. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, end that all facts therein by hire stated are true. Owner's Name and Address Employing Plumber's Name 3 L / tio n and L on Lot_ Street and Number where work is to be performed —No Amount of Permit 8 My Coaunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer f/ G .?a State work to be performed and purpose of building (By Floors)__.___ New Building________ .... ...._.. Remodeling -__._. —. -- Addition Street. Size Septic Tank_ Type of Tank. —___ Feet of Drain Tile Dist. Feet of Tank cc Drain Field from Well .. •__ - �— Nature of Water Supply: City—WeIL Size of Soakage Pit. (S ed). , VSR<OQ )3 (Signed) No //f9 Permit No c 1 j3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of.Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / • �� — /� / V 2 Street. -9 lock 9 SubdlrWo 4 t �O� Repairs No. of Stories../.. Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and hay com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor r to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - - -- - -.-.-- •--_ --• - - ... —. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 81.00 will be made when no& rrispaoti e • aeosesary by Improper notice for Inspection, or faulty materials and /or workmanship. CLO[R[ BATH TUe• SNOW[Ra LAVA• Tomas SINKS SLOP $INK[ LAUNOR Tug• URINAL[ CATCH eA[IN FLOOR DRAIN DRINKING FOUNT' NS TOTAL rISTURE[ CONTR. LIST ! CHICK / -O SEPTIC TANK SEWIR CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DIV. WILL SPRKLR. S SWIM'0 POOL Corerm. Li rr CHECK Owner's Name and Address Employing Plumber's Name 3 L / tio n and L on Lot_ Street and Number where work is to be performed —No Amount of Permit 8 My Coaunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer f/ G .?a State work to be performed and purpose of building (By Floors)__.___ New Building________ .... ...._.. Remodeling -__._. —. -- Addition Street. Size Septic Tank_ Type of Tank. —___ Feet of Drain Tile Dist. Feet of Tank cc Drain Field from Well .. •__ - �— Nature of Water Supply: City—WeIL Size of Soakage Pit. (S ed). , VSR<OQ )3 (Signed) No //f9 Permit No c 1 j3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of.Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / • �� — /� / V 2 Street. -9 lock 9 SubdlrWo 4 t �O� Repairs No. of Stories../.. Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and hay com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor r to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - - -- - -.-.-- •--_ --• - - ... —. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 81.00 will be made when no& rrispaoti e • aeosesary by Improper notice for Inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3292 Work to be performed under this Permit y l Subdi- vision DATE 194 Contractor's License No. „i1n51Pjriierl MT/ be in l p: Coney t Li,:i�.aircns C L- :l P«. to c nsuit your kiG slal.ng the work ellt +iort Value of Project Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• By .. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. x ,r` CONTR/ CTOR OR BUILDER BY AUTHORITY Permit No. - -_. i_ - - -- ' r Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address tl " _- C No Street Registered Architect and /or Engineer. Employing Plumber's Name Location and Legal Description Lot Nature of Water Supply Amount of Permit $- City —Well O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Sign ' Street.. _____ � / _ � Blo oc ck L._! _._._ _.._.__.. Street and Number where work is to be performed —No Z _. r.. _4j.�T�� ~ Street_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition__ ______._____.- _..___ Repairs Size Septic Tank Type of Tank_ _ Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit Subdivision My Commission Expires Notary Public, State of Florida No of Stories y t Plumbing Insyector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat. therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tung U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURE! CONTR. LIST • CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM '0 POOL CONTR. LIST CHECK Permit No. - -_. i_ - - -- ' r Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address tl " _- C No Street Registered Architect and /or Engineer. Employing Plumber's Name Location and Legal Description Lot Nature of Water Supply Amount of Permit $- City —Well O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Sign ' Street.. _____ � / _ � Blo oc ck L._! _._._ _.._.__.. Street and Number where work is to be performed —No Z _. r.. _4j.�T�� ~ Street_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition__ ______._____.- _..___ Repairs Size Septic Tank Type of Tank_ _ Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit Subdivision My Commission Expires Notary Public, State of Florida No of Stories y t Plumbing Insyector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat. therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. BUILDING 0 ELECTRICAL 0 PLUMBING PERMIT N° 9617 ROOFING Architect Contractor or Builder Legal Description. Address of Building Lot FA LI Owner of Building A 4 4 < MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit 1 t4 • Subdi- vision Sq. Ft Value of Project DATE Contractor's License No 7 d • • 1 17- tr Amt. of Permit $ /' 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications a,nd that he assumes responsibility for work done by his agents, servants or employees. ,l •"' . r .. .. , Signed: — , ., - 'BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 4.WIt°I7 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r3iMIT e t Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address if PZ'eala G_._ - - - - -- No 90 _ Street N E 91 Registered Architect and /or Engineer _____ ______Dd4Zia Employing Plumber's Name 'T S No. 6940 Street_____ N. ir 27th Ave Location and Legal Description Lot._----- _ -_ N E 91_s _ -__ Block_ — _----- _----- _ - - - -. Subdivision Street and Number where work is to be performed —No 90 N E 9ist St Street State work to be performed and purpose of building (By Floors) _ _____ New Building Remodeling _.__ Addition ________________________ Repairs No. of Stories 11 -27 -59 Size Septic Tank Type of Tank___ 2 - Capacity Gals. Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _Size of Soakage Pit 2 Amount of Permit $ t 00 _-- __-------------- - - -_ -- — ( Signed) Dade -_ Gas Cp, M Commission Expires Notary Public, State of Florida Plumbing spector. The undersigned applicant for this building permit does hereby certify that he'understand.s and accepts his obligations as an a over of labor under the Flozida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppleme , and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)___ Dade Gas Co Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL 1 Sp Htr Comm. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r3iMIT e t Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address if PZ'eala G_._ - - - - -- No 90 _ Street N E 91 Registered Architect and /or Engineer _____ ______Dd4Zia Employing Plumber's Name 'T S No. 6940 Street_____ N. ir 27th Ave Location and Legal Description Lot._----- _ -_ N E 91_s _ -__ Block_ — _----- _----- _ - - - -. Subdivision Street and Number where work is to be performed —No 90 N E 9ist St Street State work to be performed and purpose of building (By Floors) _ _____ New Building Remodeling _.__ Addition ________________________ Repairs No. of Stories 11 -27 -59 Size Septic Tank Type of Tank___ 2 - Capacity Gals. Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _Size of Soakage Pit 2 Amount of Permit $ t 00 _-- __-------------- - - -_ -- — ( Signed) Dade -_ Gas Cp, M Commission Expires Notary Public, State of Florida Plumbing spector. The undersigned applicant for this building permit does hereby certify that he'understand.s and accepts his obligations as an a over of labor under the Flozida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppleme , and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)___ Dade Gas Co Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Size Septic Tank Feet of Drain Tile__ Permit No. .__ Nature of Water Supply: City —Well STATE OF FLORIDA, I COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ted for th uilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at bu 1ding during progress of work. � Owner's Name and Address 1 G�� 24L No Registered Architect and /or En " Block Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) No. New Building _ Remodeling Addition Repairs Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $_ ___________ (Signed) Date Street Street Stet�y j _ Subdivision __— ...... ______________________ _1 apaaity Gals.________ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .6 % 424" - rtYY�G'�� nJ Master tuber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _-_-_----------_- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Size Septic Tank Feet of Drain Tile__ Permit No. .__ Nature of Water Supply: City —Well STATE OF FLORIDA, I COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ted for th uilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at bu 1ding during progress of work. � Owner's Name and Address 1 G�� 24L No Registered Architect and /or En " Block Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) No. New Building _ Remodeling Addition Repairs Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $_ ___________ (Signed) Date Street Street Stet�y j _ Subdivision __— ...... ______________________ _1 apaaity Gals.________ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .6 % 424" - rtYY�G'�� nJ Master tuber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _-_-_----------_- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. I r -T, / r , JOB: /4.1 BUILDING ELECTRICAL PLUMBINB V . I The following is ready for inspection:- Inspector's Report :- v • ,,ORK : DONE BY: REQUESTED WILL BE READY ■..■.■■■■ ... .....■.a■ .■.. u R E . .■■=. ■ MN ■■■... ..■..■.■.... ■. ■■■■.... ■. "" " """'•""' EEE E EEEE: EEEEEgu•E �_ ■ EIEEEEEEEEEEEEIEEEEEEEEEEEEEEEEEEE .....■.■........... 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NO. 375% CONSTRUCTION PERMIT FO R: Y`� ] New System V ) [s.1 Repair [A/ APPLICANT: J RC.1'i PROPERTY ADDRESS: ¶ 0 /4 c LOT: .k BLOCK: 1 PROPERTY ID #: LI 1 0 1 - P 2 0 - o 1 O SYSTEM DESIGN SPS IEICATIpNS 0 T H E R Existing System Abandonment GALLONS / GPD S GALLONS / GPD GALLONS GREASE INTERCEPTOR CAPACITY D [O ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANARD I CONFIGURATION: ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYST: SITE E BOTTOM OF DRAINFIELD TO BE D FILL REQUIRED: [ /IX) ] INCHES STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT Holding Tank Temporary PERMIT NO. DATE PAID: FEE PAID: 75 DO RECEIPT #:40 /.off /4 t:•_2 1? 6 R1 g 7 Innovative [-kJ/ SUBDIVISION: £ / / & TY l [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] CAPACITY MIILTI- CHAMBERED /IN- SERIES [ ] [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] GALLONS DOSING TANK CAPACITY [ ]GALLONS ® [ ] DOSES PER 24 HRS # PUMPS [ ] SYSTEM [/ FILLED J Ly MOUND BED [ y� [ 1 .? ] (0[74s/ _ (c14-4 [ S /FT] EXCAVATION REQUIRED: (4 ] [ABOVE/ [ABOVE/ ENCHMARR /REFERENCE POINT BENCHMARK /REFERENCE POINT • • 11/4,...,3 rz "T SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: DH 4016, 12/99 \ titirs t I _ TITLE: \n=D TITLE: (Page 1) (Previous Editions May Be Used) Tqln F^ 73 "-1 2 a ;,, - Q3- 17 a . . • ; ? .. • • • • INC ?;3Zf,L L pt. 1: Health Department pt. 2: Applicant = pt. 3 Ivskaller/Cogaractoi pt 4: Building De artmel • + -3L %,„) r " n , I Page 1 of 3 I�� APPLICANT: - . j AGENT: A ,� .r�-i° � S .P PROPERTY ADDRESS: LOT: „f BLOCK: 6 / SUBDIVISION: [ l l l •l l l l l l l l l l l l l l l l FILL [22] [23] [24] [ 25 [26] STATE OF FLORIDA DEPARTMENT OF HEALTH ' .ONSITE SEWAGE TREATMENT AND DIPOSAL SYSTEM CONSTRUCTION INSPECTION AND - FINAL APPROVAL / EXCAVATION.MATERIAL FILL AMOUNT/ i i FILL TEXTURE EXCAVATION DEPTH AREA REPLACED REPLACEMENT MATERIAL EXPLANATION OF VIOLATIONS / REMARKS: /lam' CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH = = TANK INSTALLATION [01) TANK SIZE [1] (2] [02] TANK MATERIAL r,.p vt-r " [03] OUTLET DEVICE [04] MULTI - CHAMBERED [ Y./ [05] OUTLET FILTER cif / 4 (06] LEGEND ;)\/ [07] WATERTIGHT [08] LEVEL [09] DEPTH TO LID l DRAINFIELD INSTALLATION [10] AREA [1]0) P[2]a5 2.SQFT [11] DISTRIBUTION BOX _ HEADER [12] NUMBER OF DRAINLINES ." [13] DRAINLINE SEPARATION [14] DRAINLINE SLOPE . [15) DEPTH OF COVER/ p. [16] ELEVATION [ABOVE � W] BM [17] SYSTEM LOCATION° [18] DOSING PUMPS (19] AGGREGATE SIZE S-' Os t� (20] AGGREGATE EXCESSIVE FINES ► � ' [21] AGGREGATE DEPTH/ l l CONSTRUCTION OVED1DISAPPROVED] t/� ,r.X :•I / CND DATE:- :2/ FINAL SYS [APPRO � /DISAPPROVED] s / /,›„�� 0 9- j CHD DATE: " J i Page 2 of 3 DH 4016, 10/97 (Previous Editions May Be Used) MAIM / CallI3QCT© PERMIT NO.0 o 7 7 / - DATE PAID: _3 -:I ` d FEE PAID: 7 RECEIPT #: �<,/n '2:` 1 PROPERTY ID 1: aa= = ==== =ss======= == := STATUTE OR RULE .AND MUST "" BE CORRECTED . SETBACKS. [27] SURFACE WATER A/ I.4 ['281 DITCHES AV/W:' [29] PRIVATE WELLS . nJ 1 [30] PUBLIC WELLS [31] IRRIGATION WELLS' [32] • POTABLE •WATER LINES' [33] BUILDING FOUNDATION °q'' [34] PROPERTY LINES' [ OTHER'. FILLED / MOUND SYSTEM [36] DRAINFIELD COVE: [37] SHOULDERS,., ['38] SLOPES' . _ [39) STABILIZATION ADDITIONAL INFORMATION, 1 UNOBSTRUCTED ' AREA - [41] .STORMWATER RUNOFF [42] ALARMS . } [43] MAINTENANCE AGREEMENT (44] BUILDING 'AREA (45) LOCATION. CONFORMS...WXTH SITE [46] FINAL SITE GRADING (17) CONTRACTOR is ,{f ,%i'V-4 [48] OTHER 7 (49] _ TANK PUMPED %,. / [50]' TANK CRUSHED & FILLED FT 1T FT_ FT FT' FT FT FT PLAN PEWIT ;UUMBE : APPLICANT: AGENT: MAILING G ADDRESS: WY, BLOCK, SUBDIVISION PROPERTY 0O: CC UNTY HEALTH DEPARTMENT CHECKS E ITEMS NOV IN C©@MPHAN CE �"Cii Th CONSTRUCTION PERMIT AND STATUTE OR RULE. INFORMATION 0S COMPLETED [ DY C©ED GG`v C CLLGo'WIING ITEMS: TANK SIZE (gallons) TANK MATERIAL (concrete, RbergIaes, etc) OUTLET FILTER (mantgacaurc r, mato, ruodo LEGEND (mantffa urer fey INFIELD AREA (square ffk®t) DISTRIBUTION BOX / HEADER (cGae© box) NUMBER Dr . INLINES (nornbsr Installed) SYSTEM ELEVATION (in relat6on to BM) DOSING PUMPS (number llsiefli d) SETBACKS (record aeloa0 set is A ohs lwt) Pormil traoIting s° a 2 _ ° ems ic'A CHID. Pro a r y @3 if Ur.] fla.770. P.O. bOtt OF stFo Q ma nng ao°.Cm ffc3 ap @ ©wQ or agornQ. Lot, B Cow and ati o ]v]E]cn ffc, C OF 27 charaUOP rlr..., F ffc? 0 r , E' . °p 2v appratzer 2D OCT CEzsUenD M L UJOLT INSTALLATION SKETCH SETBACKS i'TH R (as uequir STABILIZATION (date stabilized) CONTRACTOR (contractor installing ssystlem) ADDITIONAL INFORMATION (ass required) ABANDONMENT T TAG ( PUMPED pas) TANK CRUSHED AND FILLED (date) EXPLANATION O VIOILATION S: G3emota nom wEnn' 7, o AraTcn cff vioaai an, and roqu]rod CONSTRUCTION APPROVAL: , Circle approved cc disapproved, C HD sIgnnaWro and daQ©. FINAL APPROVAL: C brio approve] o cr d3mporavcd. cHn signal= and daQo Off approvaC. (Anal app.rova0 she cot to smiled uuoQ no CCHO has =Cr/ od t"aQ "d ��� mrilstraWM and Cc2 grading are in suCQanQlal comp :aanm c^llth plans 857 specIffocations suroontfncd cuIn no sT1—n ar on. ELEVATION WORKSHEET ELEVATION O NCH nXC3 CC3 RE .ERE CE POINT: EXISTING GROUND TOP OF AGGREGATE Qi SHOT I.O. H SHOT 8C - :(7 ELEVATION 0 b.C. H SHOT